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Maxillary molar root fracture caused by sinus surgery: case report
1Department of Endodontics, Naval Dental Center, San Diego, California.
Endodontics & Dental Traumatology
|December 1, 1994
Summary
Horizontal root fractures in molars are rare but can cause chronic pain. This case highlights how trauma from sinus surgery can lead to such fractures, with root resection effectively resolving the issue.
Area of Science:
- Endodontics
- Oral Surgery
- Dental Traumatology
Background:
- Horizontal root fractures are uncommon, particularly in posterior teeth like the maxillary first molar.
- Chronic dental pain can stem from various sources, necessitating thorough diagnostic investigation.
Observation:
- A patient presented with persistent chronic pain attributed to a horizontal root fracture.
- The fracture was located in the mesiobuccal root of a maxillary first molar.
- Diagnostic evaluation included a detailed patient history and endodontic retreatment.
Findings:
- The horizontal root fracture was determined to be iatrogenic, resulting from trauma during two Caldwell-Luc sinus procedures.
- Endodontic retreatment aided in diagnosing the root fracture as the source of pain.
Implications:
- This case underscores the importance of considering iatrogenic causes for rare dental injuries.
- Mesiobuccal root resection proved to be an effective treatment for resolving chronic pain caused by horizontal root fracture.
- Awareness of potential root fractures from sinus procedures is crucial for clinicians.